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HomeMy WebLinkAboutApproved documents - 1/27/2020City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Airport Department to expend $ 1,940.00 plus est. shipping costs of $ N/A to pay for or purchase Requesting approval for the purchas of 4-tons of urea for use on runways in icy winter conditions to aid in the braking action of aircraft. Price includes delivery and off-loading. This purchase or expenditure is being made because: Urea is approved by the FAA for use on airfield pavement surfaces to aid in the airport's airport's for ice control on airport runways, taxiways and aircraft parking aprons. Vendor selected for this purchase: Dunkerton Co-op, Dunkerton, Iowa. City Clerk Use Only Finance Committee Approval Date ���� Zk2Z Bids or written quotes were taken on this purchase, as follows: Dunkerton Co-op is the only area vendor who sells urea in the quantity we need to make a proper application to airfield surfaces. As of January 22, this will most likely be the first of maybe 5 requests to purchase this product to get us through the winter Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): N/A Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-29-7700-1371 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is a�1d th current available balance is Red, o► JAL (Signature De SQL. or Designee) Date (Signature Finance Dept. Review) Date K.\shared goodies1forms10 22 2020 Dunkerton Co-op Urea Purchase No 1 (Mar 2010) $ 114,005.00 "- $ 5?, 3,2D 78' City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Bldg Maint Department to expend $ 8,700.00 plus est. shipping costs of $ to pay for or purchase City Clerk Use Only Finance Committee ` � Approval Date 2-7/ Zjyz This purchase or expenditure is being made because: A17.3 Code required elevator upgrades at Five Sullivan Brothers Convention Center compliance date of May 1, 2020 Vendor selected for this purchase: Schumacher Elevator n Bids or written quotes were taken on this purchase, as follows: Q Bids or quotes were not taken on this purchase because: Schumacher Elevator is current vendor for City Elevators Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund 0 Road Use Tax 0 Sewer n Sanitation QX Bonds ri Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: ctfaa A/6-2, (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is (Project Code) $ 6a),OQO $ .293,Q7(��� Respectfully submitted, / Ze—� j/( 6111r,�1i �.rl l�L�ly1, /— 21- 2�i?-0 ( ignature Dept. Head or Designee) Date (ignature Finance Dept. Review) Date K:\shared goodies \forms\Pre-Auth - Elevator code upgrades 5 Sullivan Brothers.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Bldg Maint Department to expend $ 14,340.00 plus est. shipping costs of $ to pay for or purchase City Clerk Use Only Finance Committee i Approval Date This purchase or expenditure is being made because: A17.3 Code required elevator upgrades at Library, City Hall and Art Center - compliance date of May 1, 2020 Vendor selected for this purchase: Schumacher Elevator ❑ Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Schumacher Elevator is current vendor for City Elevators Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: 0 General Fund n Road Use Tax 0 Sewer n Sanitation ❑X Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 419-22-8800-2152 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfally submitted, (Signature Dept. Head or Designee) -2Z-2c1 Date Signature Finance Dept. Review) Date (Project Code) $ 65i),000 $ ,2o2.lei8 K:\shared goodies \forms\Pre-Auth - Elevator code upgrades Library.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Bldg Maint Department to expend $ 1,620.00 plus est. shipping costs of $ to pay for or purchase City Clerk Use Only Finance Committee Approval Date 2 I I This purchase or expenditure is being made because: A17.3 Code required elevator upgrades at East/West parking ramps - compliance date of May 1, 2020 Vendor selected for this purchase: Schumacher Elevator • Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Schumacher Elevator is current vendor for City Elevators Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: • General Fund n Road Use Tax n Sewer n Sanitation QX Bonds n Federal/other grants 0 Other (specify) This expenditure is to be coded to the following budget line -item: 417-22-7960-2180 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, r -22- Zo (Signature Dept. Head or Designee) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) (Project Code) $ ?/, DY/ o� Y'11..G1/u i. /,)I , (Signature Finance Dept. Review) Date City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Code Enf Department to expend $ 1,890.00 plus est. shipping costs of $ 0.00 to pay for or purchase Removal of a hazardous tree per court order at 408 Elm Street. City Clerk Use Only Finance Committee Approval Date 27/e- This purchase or expenditure is being made because: Court order removal - charge back to property owner. Vendor selected for this purchase: Wilson Custom Tree ❑X Bids or written quotes were taken on this purchase, as follows: Wilson Custom Tree $1,890.00 Affordable Tree Service $2,000.00 Fowlkes Tree & Stump Removal $3,638.00 ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer ❑X Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 525-15-5125-1390 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectful y bmi (Project Code) $ 50,000.00 L $ 25,236.08 4/ i/1t1/2olo % rt��c �J1�,Q,�r� 20?„) (Signare DLit ea. or Designee) Date (Sign ture Finance Dept. Review) Date K:\shared goodies\forms\408 Elm Tree Bid 1-10-20.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Code Enf Department to expend $ 1,000.00 plus est. shipping costs of $ 0.00 to pay for or purchase Removal of hazardous tree per court order at 1428 Stratford Ave. City Clerk Use Only Finance Committee 1 / / Approval Date r Z// z-`=' This purchase or expenditure is being made because: Court order removal - charge back to property owner. Vendor selected for this purchase: O'Connell's Tree Service ❑X Bids or written quotes were taken on this purchase, as follows: O'Connell's Tree Service $1,000.00 Affordable Tree Service $1,500.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund � Road Use Tax 0 Sewer OX Sanitation Ei Bonds 0 Federal/other grants 0 Other (specify) This expenditure is to be coded to the following budget line -item: 525-15-5125-1390 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully su (Project Code) $ 50,000.00 ✓ $ .24,236.08 23,34l0 °¢ (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\1428 Stratford Tree Bid 1-10-20.xls (Mar 2010) City of Waterloo City Clerk Use Only Finance Committee Approval Date /2? J Zed Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Convention Cente Department to expend $ 10,000.00 plus est. shipping costs of $ 0.00 to pay for or purchase Square point of sale hardware. Not to exceed this amount. This purchase or expenditure is being made because: Allows cash control, acceptance of credit cards, and sales reporting for concessions, bars, and payments for facility services. Vendor selected for this purchase: Square n Bids or written quotes were taken on this purchase, as follows: Compared hardware prices at Amazon and Best Buy and pricing is consistent with all vendors. n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund n Road Use Tax n Sewer n Sanitation Bonds n Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 416-22-4900 2106 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 15,952.00 and the current available balance is $ 10,000.00 Respectfully submitted, BRENDON WAGI 1/22/2020 �j� 7 J -�� (Signature Dept. Head or Designee) Date (Sighature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre -Authorization- Square Hardware.xlsx (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Convention Cente Department to expend $ 5,500.00 plus est. shipping costs of $ 0.00 to pay for or purchase Social Tables software as a service. Price includes initial setup and unlimited users. Fee covers 1 year of service. City Clerk Use Only Finance Committee'/ Approval Date 7-Ze Z c� This purchase or expenditure is being made because: Provides room diagramming and event planning tools for events in the convention center. Vendor selected for this purchase: Social Tables/Cvent n Bids or written quotes were taken on this purchase, as follows: E Bids or quotes were not taken on this purchase because: This is a product that Spectra uses in almost all similar venues. Special pricing has been negotiated by Spectra (normal price is $6,895). This vendor is the sole source of this particular solution. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: O General Fund n Road Use Tax n Sewer n Sanitation ▪ Bonds n Federal/other grants n Other (specify) HMT/Conv Center Operat This expenditure is to be coded to the following budget line -item: 010-22-6860 1520 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 5,500.00 and the current available balance is Respectfully submitted, ignature Dept. Head or Designee) $ 5,500.00 I(zzlw ;teLu�t Date (Signature Finance Dept. Review) i a 2 -20'.20 Date K:\shared goodies\forms\Expenditure Pre -Authorization- Social Tables.xlsx (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 't The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Convention Cente Department to expend $ 4,600.00 plus est. shipping costs of $ 115.00 to pay for or purchase ADP Time clock and WIFI adapter This purchase or expenditure is being made because: It is necessary for accurate recordkeeping of hourly employee's time. Vendor selected for this purchase: ADP ❑ Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Per Spectra's payroll services agreement with ADP they are the provider of equipment that directly interfaces with ADP payroll software. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: 0 General Fund n Road Use Tax n Sewer ❑ Sanitation EX Bonds n Federal/other grants 7 Other (specify) This expenditure is to be coded to the following budget line -item: 416-22-4900 2106 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 4,600.00 and the current available balance is Respectfully submitted, (Signature Dept. Head or Designee) $ 4,600.00 (I221 2') • pe 14 db.,//2ccd-puA Date (Signature Finance Dept. Review) /-.22 -.2o 20 Date K:\shared goodies\forms\Expenditure Pre -Authorization- Time Clock.xlsx (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Leisure Services Department to expend $ 14,779.73 plus est. shipping costs of $ to pay for or purchase One John Deere Z994R Diesel Commercial Z Track Mower. City Clerk Use Only Finance Committee Approval Date / 27/ / Z This purchase or expenditure is being made because: This unit will be utilized to mow and groom softball and baseball diamonds. Vendor selected for this purchase: P&K Midwest, Waterloo, IA n Bids or written quotes were taken on this purchase, as follows: P&K Midwest, Waterloo, IA $14,779.73 (Lower than IA DOT State Bid) Van Wall Turf & Irrigation, Rock (sand, IL Did not return bid request nBids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund n Road Use Tax n Sewer n Sanitation QX Bonds n Federal/other grants ri Other (specify) This expenditure is to be coded to the following budget line -item: 419-37-4100-2113 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 75,000.00 and the current available balance is $ 48,880.85 ✓ Respectfully submitted, (Signature Dept. or Designee) ' Date (Signature Finance Dept. Review) Date K:\shared goodies \forms\Pre-Auth John Deere Z994R Mower.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the MIS Department to expend $ 5,192.00 plus est. shipping costs of $ to pay for or purchase Wireless network upgrades for Five Sullivan Brothers Convention Center City Clerk Use Only Finance Committee Approval Date / / 27 r / Z This purchase or expenditure is being made because: There are locations in the convention center that are not able to get a wireless signal and this will also allow for more simultanous connections. Vendor selected for this purchase: BerganKDV Bids or written quotes were taken on this purchase, as follows: XQ Bids or quotes were not taken on this purchase because: BerganKDV installed the current wireless network and is familiar with the setup. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax El Sewer ❑ Sanitation ❑X Bonds lj Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: Bonds for Convention Center Upgrades (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ flfR and the current available balance is $ 57q,2 Respectfully submitted, (Signature De . Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Auth 5 Bros Wireless AP Upgrades.xls (Mar 2010) rga We have prepared a quote for you More APs, support & controller licensing Quote # 062550 Version 1 Prepared for: City of Waterloo Chris Youngblut Chris.Youngblut@WATERLOO-IA.ORG 100 E Park Ave Ste 200 Waterloo, IA 50703 www.BerganKDV.com 888-356-2295 Down Payment berganKov Description Price < Qty Ext. Price A down payment of 50% will be required on all purchases with ra total of $10,000 or greater. After approval of quote, an invoice for the down payment amount will be sent, orders will be placed after invoice is paid. Ruckus Wireless peso iptioi Price Qty F.xt.Price! Ruckus Access Point - R710 ZoneFlex dual -band 802.11 ac Wireless Access Point - 4x4:4 streams, MU-MIMO, BeamFlex+, dual ports, PoE support. - Does not include power adapter or PoE injector Ruckus R710 End User Support Ruckus ZD1205 Single AP License Ruckus End User Support for ZD1205 $1,150.00 $189.00 $129.00 $36.00 3 3 3 3 $3,450.00 $567.00 $387.00 $108.00 Subtotal: $4,512.00 Services Description Price Qty Ext. Price Project Scope Upgrade firmware to current stable release Apply controller licenses. Join Waps to controller, configure IP settings & set DHCP reservations on DHCP server Configure Admin settings Configure SSID(s) to customer's requests (2.4 & 5G) Configure switching (Tagging on ports) Document passwords and instructions to get connected Document WAP locations Test connectivity Backup devices and update documentation Assumptions: City will handle running cabling for new WAPs and mounting of WAPs. $680.00 1 $680.00 Subtotal: $680.00 100 E Park Ave Ste 200 Waterloo, IA 50703 www.BerganKDV.com 888-356-2295 More APs, support & controller licensing Prepared by: Cedar Valley Dave Wyant (319)433-3719 dave.wyant@bergankdv.com berganKov Prepared for: City of Waterloo 715 Mulberry Street; Attn: Maint. Department Waterloo, IA 50703 Chris Youngblut Chris.Youngblut@WATERL00-1A.ORG (319) 291-0149 Quote Information: Quote #: 062550 Version: 1 Delivery Date: 01/21/2020 Expiration Date: 02/18/2020 Quote Summary Descrip Ruckus Wireless Services $4,512.00 $680.00 Please DO NOT pay from quote. An invoice will be generated after authorization. Total: Taxes, shipping, handling and other fees may apply. We reserve the right to cancel orders arising from pricing or other errors. Signature Date $5,192.00 100 E Park Ave Ste 200 Waterloo, IA 50703 www.BerganKDV.com 888-356-2295 Terms and Approval berganov By signing and retuming this Quotation, I authorize BerganKDV to order the above products. I also agree, upon delivery of the above products,to pay BerganKDV any and all amounts due. Unless explicitly specified in the above quotation details, labor hours required to deliver, install,configure, and/or support the above products is not included in the quoted price. In some cases, an amount will be due prior to ordering.Additional shipping charges may apply. Prices are subject to change without notice. WARRANTIES AND DISCLAIMERS A) Limitation of liability. BerganKDV shall not be liable to client under any circumstances for client's loss of the use of it's network or related systems. In no event shall vendor be liable to customer for any indirect, special or consequential damages or loss profits arising out of or related to this agreement or the performance of services hereunder or any breach thereof even if vendor has been advised of the possibility thereof. Vendor's liability to customer hereunder, if any, shall in no event exceed the total amount paid to the vendor hereunder. In no event shall vendor be liable to customer for any damages resulting from or relate to any failure or delay of vendor in the performance of services hereunder. B) Negation of Warranty. Vendor does not warrant the services performed hereunder or the accuracy or correctness of the results of the services, and there are no warranties, express or implied, including, but limited to warranties of the merchantability or fitness for any particular purpose. INDEMNIFICATION City of Waterloo hereby agrees to indemnify and defend at its sole expense: BerganKDV, its employees, agents, representatives, directors and shareholders, from and against any and all claims arising out of or based upon City of Waterloo use of all services, software or hardware provided or serviced hereunder, including, but not limited to, claims based on software licensing violations, copyright infringement, trademark infringement and patent infringement. In addition, City of Waterloo agrees to pay any judgment and costs associated with such claim. RETURNS Eligible retums must be made with 15 days in the original packaging in like new condition. There may be shipping costs as well as 20% restocking fee on items that can be returned. BerganKDV reserves the right to deny any returns or exchanges. Check with your account manager for details. City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date /z /2-6 Z-6 The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Sanitation Department to expend $ 6,318.95 plus est. shipping costs of $ to pay for or purchase 13,000 - Yard Waste 2020 Calendar - includes printing, envelopes and bulk postage This purchase or expenditure is being made because: To inform yard waste customers of the pick up and make up dates. Vendor selected for this purchase: Storey Kenworthy Bids or written quotes were taken on this purchase, as follows: Storey Kenworthy Waterloo, IA Professional Office Services Waterloo, IA $6,318.95 $6,495.76 n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund Bonds Road Use Tax ❑ Sewer ❑ Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 525-15-5400-1352 & 525-15-5400-1343 (Fund - Department - Activity - Account Number) in which the budgeted amount is (Project Code) 3464.gs- ,285- .Co $ 4,200.00'V 21000.00✓ and the current available balance is A,n6i-10144" $ 1,069.62 ✓ 5,518.81" ,er4nr" Respectfully submitted, /I Ce-' } 11.7 ;.../te_ /.J.LL 4uwc a x� (S�gnature Dept.Head or Designee) / Date Si na ur 9 ) ( e Finance Dept. Review)Date 9 P K:\sh'ared goodies \forms12020-January-Expenditure Pre -Authorization -Sanitation -Storey Kenworthy-2020Yard Waste Calendar -Copy & Postage - $6,318.95-525-15-5400-1352 & 1343.xls (Mar 2010) City clerk Use Only Finance Committee City of Waterloo Approval Date= Expenditure Pre_Authorizatio The Finance Committee of the n Request Forim purchase orexpenditurehereby16,768.00 submitted by requested to a the authorize the following plus est. shipping Traffic TSI Gridsmart D ppin costs of $ Department to expend Detection S stem i assistance for US ncludin• Camera s rpay &urn or 218 Washin.ton t't'�mount, Processorpurchase and W. 18th St. Williston turn on This purchase or expenditure intersection penditure is being made because: Monitorincameras for Traffic Ada.tive S San Martian corridors, stem thru Washinton and Vendor selected for this purchase: General Traffic Controls Bids or written quotes were taken on this purchase, as follows: General Traffic Controls S•encer, IA $16,768.00 MidAmerican Si•nal, Inc. Kansas Cit , KS $30,656.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ElGeneral Fund n Road Use Tax n Sewer n Sanitation ❑X Bonds � FederaVother grants n Other (specify) This expenditure is to be coded to the following budget line -item: 4 =17-7120-2125 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, nature Dept. ,J ad or Designee) Date (Si (Project Code) $ 100,000.00 $ 100,000.00 •- ztiu J /,r .,ft,ln nature Finance Dept. Review) Date K:\shar- • goodies\forms\2020-January-Expenditure Pre -Authorization -Traffic -General Traffic Controls -TSI GRidsmart Detection System - Williston (18th St.)-218 - $16,768-419-17-7120-2125.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date /Z17/ City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Department to expend $ 1,040.00 plus est. shipping costs of $ 226.00 to pay for or purchase 20 - Portable Rubber Bases This purchase or expenditure is being made because: Portable bases for Stop and various signs to be placed temporarily. Vendor selected for this purchase: Traffic Safety Warehouse ❑ Bids or written quotes were taken on this purchase, as follows: Traffic Safety Warehouse Campbell Supply Co. Deerfield, IL $1,040.00 Waterloo, IA $1,320.00 n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Bonds Road Use Tax ❑ Sewer ❑ Sanitation Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-7120-1577 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (S gnature Dept. ea. or Designee) (Project Code) $ 11,000.00 $ 4,591.00 D. e (Sign.ture Finance Dept. Review) Date K:\shared goodies\forms\2020-Janaury-Expenditure Pre -Authorization -Traffic -Sewer -Art Center -20 - Volcano Rubber BAses - $1040.00+226.0 Sh - 266-17-2710-1577.xls (Mar 2010) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance 9jommittee approval required? YES V NO / If so, date approved: /2'72 J 2..C, City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 20 submitted by the POLICE Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 010 11 1160 3299 K9 Donations ///oh ?Ogg 3,000.00 )10 11 1160 1528 K9 Program Wig 3,000.00 0 Kg TOTAL $3,000.00 TOTAL This amendment is being requested because: This is to conform with the City's budget line item control policy. This is to correct the K9 line for ongoing training and expenses. $3,000.00 Prior Committee Actions (Dates): (Signature Dept. Head or Designee) (Q -Z 1 .a,Cu i,4tesi wi / f(.-Aar Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\userstshared goodies\forms\cs budget amend req form (Apr 2003) CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee J Approval Date Project Name (from page one) Police Grant - Federal Violence Against Women-FY20 Criminal Justice Application FFY2020-2 Department No. project will be budgeted under 11 Activity No. project will be budgeted under 010 11 1150 010 11 1100 (Each column should only include amounts by fund) Fund: Fund: 1150 1160 REVENUES: 3000 Cash on Hand 3112 Local Option Sales Tax 3350 Federal Grant 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3373 Fed Pass thru for Iowa 36,113.00 3111 Hotel Motel Tax 3377 EDA Grant 3720 Donations - Restricted Fund: Fund: Total 36,113.00 Funded with property tax 77,678.00 77,678.00 EXPENDITURES: TOTALS $ 36,113.00 $ 77,678.00 $ $ - $ 113,791.00 1111 Salaries - Regular $ 36,113.00 $ 40,618.00 76,731.00 1112 Salaries - Part Time 1121 FICA 1122 IPERS 1123 Disability 1131 Health 1114 Overtime 1130 Employee Benefits 37,060.00 37,060.00 TOTALS $ 36,113.00 $ 77,678.00 $ $ $ 113,791.00 71&I ead Date /0D/J9 ( 9nature De P ) lit%t r .4.14., (Signature Finance Dept. Review) Date K:\shared goodies\forms\cs Project Budget Worksheets 14\DART FY20 (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Police Grant - Federal Violence Against Women-FY20 Criminal Justice Application FFY2020-2022 City Contract No. Project Manager Project Budget Total Captain Mohlis $ 36,113.00 1. How will this project be funded? A. Federal Grant Yes Grant Name No 1 1 CFDA # 16.588 % Paid by federal grant B. State Grant Yes Grant Name C. City Match D. Other Entities Yes Name x No Pass through Dept. of Crime Victim Asst. Division Grant Agreement Number % Paid by state grant Grant Agreement Number VW-20-50-LE Source of Funding Property tax - $12,038.00 % Paid by City No % Paid by other entity 2. Attach copies of any grant agreements that will fund the project (REQUIRED) 3. Does the project include the purchase of right of way or other real property? If yes, will real property purchases be reimbursable under the grant? If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs C. Others, list 5. Does this project cover any regular full-time salaries or benefits? Done None El 0 Yes No El 0 ❑ ❑X ❑ ❑X ❑ ❑X ❑ ❑X ❑ 0 ❑x ❑ 6. Include a brief description of the project in the space below: (REQUIRED) This grant is a continuation of previous grant awards that will be applied towards funding the Waterloo Police Department Domestic Abuse Response Team (DART) program, providing salary & benefits for one full-time DART Investigator. The purpose of the grant is to provide immediate support, perpetrator accountability, and ongoing system advocacy for victims of domestic violence and their children. Page 2 must be attached and signed. K:\shared goodies\forms\cs Project Budget Worksheets 14\DART20 PG2 (Mar 2010) THOMAS J. MILLER ATTORNEY GENERAL JANELLE MELOHN DIVISION DIRECTOR IOWA DEPARTMENT OF JUSTICE OFFICE OF THE ATTORNEY GENERAL CRIME VICTIM ASSISTANCE DIVISION Subcontract #: VW-20-50-LE 321 E 12TH STREET DES MOINES, IA 50319 PHONE: (515)281-5044 TOLL -FREE: (800) 373-5044 FACSIMILE: (515)281-8199) W W W.IOWAATTORNEYGENERAL.GOV THIS AGREEMENT (hereinafter Subcontract) is entered into by and between the Crime Victim Assistance Division of the Iowa Department of Justice through their Victim Services Support Program, Lucas State Office Building, 321 East 12th Street, Des Moines, IA 50319 (hereinafter "Department"), and Waterloo Police Department, 715 Mulberry Street, Waterloo, Iowa 50703, (hereinafter Program). This Subcontract for substantive programmatic work is issued under a prime grant awarded to the Department by Office of Justice Programs, Office on Violence Against Women; CFDA 16.588. Now therefore, in consideration of the mutual agreements contained herein, the parties agree this subcontract will be performed in accordance with the following conditions: GENERAL CONDITIONS 1. SCOPE OF WORK/STATEMENT OF WORK: The Program agrees to use its best efforts to perform the work for the program or project entitled, "Criminal Justice Application FFY2020- 2022" as described in Exhibit A. 2. PERIOD OF PERFORMANCE: The award period is October 1, 2019 through September 30, 2022. The budget period and period of performance for year one is October 1, 2019 through September 30, 2020. Unless terminated, this subcontract will be amended with additional funds for years two and three. 3. PROJECT COSTS: Department agrees to reimburse the Program for actual costs incurred in the performance of the project in an amount not to exceed $36,113. Expenditures in excess of this amount are not authorized, unless amended by mutual written agreement of the parties. See Exhibit B. Per federal guidelines Program must be able to account for each funding stream separately. 4. MATCH: The Program shall provide as a minimum $12,038 in matching funds. Matching funds can be cash or in -kind and must be acceptable by the Department with sufficient documentation as evidence of such match. No match can be from other federal sources. See Exhibit B. 5. KEY PERSONNEL: The project director for this project is Police Chief Daniel Trelka who shall be responsible for the direction of the work to be performed under this program/project. If, for any reason, the project director is not able to continue to serve as the project director, Program must notify Department in writing, prior to hiring and must provide candidate's resume. If a mutually acceptable successor is not available Program and/or Department shall have the option to terminate said program in accordance with Department's termination policy contained here within. Other personnel considered key personnel includes: the executive director, fiscal director, department heads, supervisors or any other personnel who are directly associated with this program. Should a vacancy of key personnel, other than the project director, occur during this grant cycle, Department Subcontract #: VW-20-50-LE expects Program to engage in standard hiring practices to hire the most qualified person available for any open positions. Hiring underqualified or unqualified persons in key positions could jeopardize Program's provision of high quality victim services. The community specialist assigned to this Subcontract is Donna Phillips who shall be responsible for the direction of the work to be performed on this Subcontract. Any notices or requests for changes to this Subcontract shall be sent to the community specialist in writing, via Iowagrants.gov, the US Mail or email. 6. ALLOWABLE COSTS AND PAYMENT: Department will reimburse the Program for direct costs and indirect costs (if applicable) incurred in the performance of this Subcontract, provided that: 1. The submitted claim represents the approved budget as shown in Exhibit B. 2. Such costs were allowable by terms of this Subcontract and the Uniform Guidance (2 CFR 200) and the applicable funding sources. 3. Such costs are incurred in accordance with Program's established policies and procedures, consistently applied. 7. ITEMIZED CLAIMS: The Program agrees to submit claims for actual costs incurred through Iowagrants.gov either monthly or quarterly and adhere to this frequency throughout the term of the subcontract. Claims are due within 30 days following the end of the claim period. Program will submit claims X monthly or quarterly (check one). The Department agrees to make payment in compliance with the approved budget (Exhibit B) or any amended budgets. The Program shall comply with Department's reimbursement procedures by using Department claim/expense forms, as applicable. In addition, Program must adhere to the supporting documentation requires as outlined in Program's Risk Assessment, see Exhibit C. 8. CONFLICTS OF INTEREST: Any key personnel, or any other person associated with this program must disclose in writing any real or perceived conflicts of interest regarding this program. Department will not allow the direct hire or supervision of any immediate family member in any employment position that is funded by this Subcontract. Any deviations to this restriction must be approved in writing in advance by the assigned community specialist. Subcontract #: VW-20-50-LE 9. REPORTS: The Program shall prepare and submit the following reports, as applicable to the Department: Report Submission Instructions Due By: Bi-annual report All programs, all funding sources. Reports are submitted via Iowagrants.gov. Bi-annual reporting periods: 10/01/2019 to 3/31/2020 4/01/2020 to 9/30/2020 May 15, 2020 November 15, 2020 VAWA (Violence Against Women or VA) Subgrantee report is for calendar year 2019. instructions and report template can be found on the VSS website* February 15, 2020 * https://www.iowaattorneygenera .gov/for-crime-victims/victim-services-support- progrant/performance-reports-for-funded-programs/ 10. CHANGES IN OBJECTIVES/GOALS/SCOPE OF WORK/PROGRAM ADMINISTRATION: Changes in objective or scope of work or significant programmatic administration shall not be made without prior written approval of the Department. Programmatic administration means delivery of services, service areas, program hours, program offices, key staff/advocates, etc. 11. BUDGET ADJUSTMENTS: The Department shall administer and disperse the funds for this Subcontract contingent upon their availability. This Subcontract may be adjusted to reflect changes in the amount funded as determined by the Department. Program will adhere to the approved budget (Exhibit B). Any deviation from the approved budget requires prior written approval from Department. 12. ADMINISTRATION, ACCOUNTS, RECORDS, AUDITS: 1 The Department shall monitor the services and operation of the Program for compliance with this Subcontract. The Department shall have immediate access to records pertaining to the Subcontract during working hours with or without notice. a) The Program shall retain all financial records, supporting documents, statistical records and all other records sufficient to reflect properly all direct, indirect and match charges, for at least three years following the closure of the most recent audit report. a Program will forward a copy of its most recent audit by March 31, of each year to: Accounting Department Crime Victim Assistance Division Lucas State Office Building 321 East 12th Street Des Moines, IA 50319 Subcontract #: VW-20-50-LE 13. EQUIPMENT: Any equipment detailed in the project budget (Exhibit B) and purchased from these funds shall be maintained properly and shall be the property of the Program unless Department notifies in writing otherwise. Capitalized equipment, as defined by the federal government, shall be handled in accordance to federal regulations § 200.313. 14. TERMINATION: Termination on notice by the Department (CVAD). Following written notice, the Department may terminate this contract for convenience without the payment of any penalty or incurring any further obligation to the non -terminating party. Following termination upon notice, the Department will pay the Program upon submission of any outstanding performance reports, any active files and/or work product, or anything outlined in the closeout letter issued by the Department. The Program will also need to submit the disposition of any capitalised equipment, invoices and proper proof of claim, for services provided under this contract up to and including the date of termination, minus any funds owed the Department Termination for cause by the Department. The Department may declare the Program to be in default of its obligations under this contract when any of the following events occurs: (1) The Program fails to observe and perform any covenant, condition or obligation created by the contract; (2) The Program fails to make substantial and timely progress toward performance of the contract; or (3) The Program's work product and services fail to conform with the requirements of this contract. Termination by the Department due to lack of funds or change in law. Despite anything in this contract to the contrary, and subject to the limitations, conditions, and procedures set forth below, the Department may terminate this contract without penalty by giving written notice to the Program if any of the following occurs: (1) The legislature or governor fails to appropriate funds sufficient to allow the Department to operate as required and to fulfill its obligations under this contract; (2) If funds are de -appropriated or not allocated; (3) If the federal government reduces or eliminates the federal grant; (4) If the Department's authorization to operate is withdrawn or there a material alteration in the programs administered by the Department; or (5) If the Department's duties are substantially modified. Termination on notice by the Program (Subrecipient). Following written notice, the Program may terminate this contract for convenience without the payment of any penalty or incurring any further obligation to the non -terminating party. Following termination upon notice, the Department will pay the Program upon submission of any outstanding performance reports, any active files and/or work product, or anything outlined in the closeout letter issued by the Department. The Program will also need to submit the disposition of any capitalized equipment, invoices and proper proof of claim, for services provided under this contract up to and including the date of termination, minus any funds owed the Department i. Notice of default If there is a default event that the Program can cure, the Department must provide written notice to the Program requesting that the breach or noncompliance be immediately remedied. If the breach or Subcontract #: VW-20-50-LE noncompliance continues 10 days beyond the date of the written notice, the Department may immediately terminate the contract without additional written notice or enforce the terms and conditions of the contract and seek any legal or equitable remedies. In either event, the Department may seek damages due to the breach or failure to comply with the terms of the contract. Program Remedies If the Department terminates this contract due to convenience, cause, lack of funds or change in law as provided above, the Program's exclusive, sole, and complete remedy is the payment for services completed prior to and including the date of termination. Set Off Should the Department obtain a money judgment against the Program because of a default under this contract, the Program consents to such judgment being set off from moneys owed the Program by the State of Iowa or any other agency of the State of Iowa under any other contract. Program Duties Upon Termination When the Program receives the Department's notice of termination for any reason allowed under this contract, the Program must cease all work under this contract except any work the Department directs the Program to perform. The Program must also comply with the Department's instructions for the timely transfer of any active files and related work product. [Administrative Rule 61- 9.63(13)] 15. INDEMNIFICATION: The Program agrees to indemnify and hold the State of Iowa, the Department, and the Attorney General's Office harmless from any or all liabilities, including, but not limited to: (1) Program's performance or non-performance of a contract entered into, or violation of these local, state and federal rules, laws and regulations; or (2) Program's activities with subcontractors and all other third parties, or any other act or omission by a Program, its agents, officers, and employees [Administrative Rule 61-9.63(13)]; or (3) Any Violation of this Agreement by the Program; or (4) Any negligent acts or omissions of the Program. 16. INSURANCE: The Program represents it has adequate liability insurance, such protection being application to officers, employees, and agents while acting within the scope of their employment by Program. 17. MODIFICATION: Any agreement to change the terms of this Subcontract in any way shall be valid when the change is made in writing and approve by authorized representatives of the parties hereto. 18. REPRESENTATIVES: Program contacts are listed in iowagrants.gov. Program is to notify Department of changes to the programmatic or Subcontractual/fiscal contacts. Department's contractual contact is Lori Miller at lori.miller@ag.iowa.gov; 515-725-4130 or by US mail: Lucas State Office 321 East 12th Street, Des Moines, IA 50319. 19. CORRECTIVE ACTION : If applicable, are listed in Exhibit D. Subcontract #: VW-20-50-LE 20. SPECIAL CONDITIONS: The Special Conditions, if any, are attached Exhibit e and by reference incorporated herein, apply to this Subcontract, and in case of any conflict between the General Conditions, the Special Conditions will prevail. 21. CERTIFIED ASSURANCES: See Exhibit F. CVAD, Programmatic and federal assurances require Program signatures as applicable. APPROVED AND AGREED PROGRAM: IOWA DEPARTMENT OF JUSTICE Lori Miller Ditally signed by Lori Dt9 e:2019.10.21754:39iller By:-O5'00' (Authorizing Signature) (Authorizing Signature) Stacy Hesse Lori Miller (Name) (Name) DART Investigator Program Administrator (Title) (Title) 10/2'i/19 (Date) (Date) Payroll Benefits Travel to Provide Services In -State Training Out -of -State Training Contractual Services Equipment Repairs & Maintenance Rent Utilities Communications Advertising Project Supplies Insurance Client Assistance Other Expenses Indirect Costs Volunteers Subcontract #: VW-20-50-LE Exhibit A Scope of Work/Statement of Work The Domestic Abuse Response Team investigator for the Waterloo Police Department completes follow up for all domestic assault related cases in Waterloo. She does interviews, photos, and coordinates with the Black Hawk County Attorney's office for successful prosecution. We will continue to work closely with Waypoint Services so we can better assist victims, as well as provide evidence to be used in prosecution. As our refugee community grows in Waterloo, we will expand our communication with those members and assist them to be successful in our community. Funding in this Agreement is to strengthen responses to violence against women victims (domestic abuse, dating violence, teen and adult sexual assault and stalking victims) accessing the criminal justice system. Develop and strengthen effective: • Law enforcement strategies in the response, documentation and investigation of cases involving violence against women victims (dating violence, domestic violence/abuse, teen and adult sexual assault, and stalking), • Improve training and technical assistance to law enforcement and their allied partners to improve the response, documentation and investigation of cases involving crimes against women. Exhibit B Budget ones CVAD Funds Match Match Source $36,113.00 $12,038.00 City of Waterloo Police Department General Funds $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA $0.00 $0.00 NA Totals $36,113.00 $12,038.00 Subcontract #: VW-20-50-LE Exhibit C Financial Risk Assessment Not applicable. Exhibit D Corrective Action There is no corrective action at this time. Exhibit E Special Conditions Not applicable. Exhibit F Certified Assurances The updated certified assurance will be sent by November 1, 2019 as an addendum to this contract. CITY OF WATERLOO ( Committee Communication Finance Committee Meeting: 1 /2019 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $466.60 for garbage collection fees paid on a property located at 444 Edison Street. Summary Statement: This is a commercial property which should have never been charged for garbage services. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: fi e:1i;K:`,CLERKDAT1Counci18:FinanceCommunicol ion sCow cilComirumicalionstoCouncil&OPinance'QO!5;Fina eComnuni cation\ 030915.garbage.refund.doc Connection Waterloo Water Works Document History by Locaticn Page: 0 User: Jamie-H Collection Agency Balance 50.00 Consumption k 5129.28 1, $129.28 k $125.02 k $125.02 . $125.37 $125.37 (r 5122.00 y $122.00 X S122.00 y $122.00 y $122.00 . 5156.63 x $122.00 596.30 Amount Running Balance (525.931 3 1 ($155.11) ($284.39) ($409.41) 1$534.43) (5659.90) ($785.17) (5901.17) (51,029.11) ($1,151.17) (51,273.11) (91,395.11) (51,551.84) (51,673.84) iO 6'_9 1:36:33 PM 9.:0:'.019 L:cat_:r,: 10E074 Address: 444 EDISON ST WATERLOO IA 50703-2236 Castanet: 536724 Amreko S Holloway 'n lading: Work, Open, History, voided Last Statement Date 9/9/2019 Last Statement Balance $135.04 Last Payment Date 9/20/2019 Current Balance $109.87 9ece Document V 9/9/2019 BILL00000994101 Open J�/10i2019 BILL00000952763 History v2 /11/2019 B1LL00000902350 History ✓,I1/9/2018 81LL00000844441 History ,/ 9/9/2018 BILL00C00795834 History 5 i 1/2019 81L100000750489 History 2/9/2018 BILL00000680711 History io1/9/2011 BILL00000626179 History 8/8/2011 BILL00000569962 History /11/2013 BILL00000497225 History y/4 2/10/2011 BILL00000417469 History J11/10/2016 BILL00000330605 History /10/2016 BILL00000250499 History J5/10/2016 BILL00000187269 History 2/11/2016 BILL00000110296 History Type REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA REGULA 15 Documents WATERLOO A [ WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Waterloo Water Works Services Water $36.40 Water Service Excise Tax $2.19 Late Penalty $6.06 Water Works Subtotal $44.65 City of Waterloo Services Sanitary Sewer $47.25 Garbage 31. Storm Water Fee $12.00 Sales Tax $6.36 City of Waterloo Subtotal $97.11 Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/09/2019 08/30/2019 CHARGE SUM AR Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $97.11 $129.28 $136.00 -$6.72 $44.65 Total Current Service Charges $141.76 Total Amount Due $135.04 Amount Due After 08/30/2019 $141.37 aPreviuu Read Date 04/23/2019 rent Read Date 07/25/2019 Previous Read 5 Previous Read Type Actual Cu rft Read 12 d Type Actual IJsag C'F) SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information AKE CHECKS PAYABLE TOr. P.O. Box 27 Waterloo, Iowa 50704 Phone:(319)232-6280 ADDRESSEE: Amreko Holloway 1111 W Parker St Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Amount Due After : 141.37 $d#ih Amount Enclosed: RE T TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/10/2019 06/03/2019 Waterloo Water Works Services Water $36.40 Water Service Excise Tax $2.19 Late Penalty $6.76 Water Works Subtotal $45.35 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee $8.25 Sales Tax $5.94 City of Waterloo Subtotal $90.69 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $158.26 -$165.02 -$6.76 Water Works Subtotal $45.35 City of Waterloo Subtotal $90.69 Total Current Service Charges $136.04 Total Amount Due $129.28 Amount Due After 06/03/2019 $135.34 Previous Read 0 Cu Read Date vious Read P :eytt.7t.1s Read Type Crrent Read Ctlrrei t Read Type Uss e'(CCF) 02/06/2019 04/23/2019 0 Actual 6 U 6 U 5 3 m 3 m 2 Op 0' O On egfee 5 Actual s PECIAL. ESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information IAKEICHECKS PAYABLE TO. P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Amreko Holloway 1111 W Parker St Waterloo, IA 50703 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Tst i t& 1 Amount Due After : 135.34 Billingi a Date: 06/03/2019 Amount Enclosed: EMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 2 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/11/2019 03/04/2019 Waterloo Water Works Services Water $36.40 Water Service Excise Tax $2.19 Meter Equipment $14.06 Meter Room Labor $14.92 Late Penalty $5.86 Water Works Subtotal $73.43 City of Waterloo Services Sanitary Sewer $45.00 Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal 8. $5.94 $90.69 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $90.69 $124.90 -$130.76 -$5.86 $73.43 Total Current Service Charges $164.12 Total Amount Due $158.26 Amount Due After 03/04/2019 $164.32 aPrevious Read Date ) rent Iead'Date'. vlous Re evidus Read Type Curr`er Read Curren d Ty CC! 10/25/2018 01/30/2019 02/01/2019 01/30/2019 02/06/2019 02/06/2019 72 78 0 Actual Actual Actual 78 78 0 Your meter was replaced on 09/21/2019 Actual Actual Actual 0 SPECIA MESSAGES WATERLOO WA ._WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/09/2018 12/05/2018 Waterloo Water Works Services Water $34.65 Water Service Excise Tax $2.08 Late Penalty $5.86 Water Works Subtotal $42.59 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $5.79 $88.29 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $88.29 $125.02 -$131.00 -$5.98 $42.59 Total Current Service Charges $130.88 Total Amount Due $124.90 Amount Due After 12/05/2018 $130.76 3vious Read Date' Current Read Date Previous' Read Previous Read Type Current R C rre T7 pe Usage (CCE)! 07/30/2018 10/25/2018 67 Actual 18 18 o 12 S2,10 y 8 of 6 F 4 2 0 01 O 6 0 ti� ti� ti O, Oa C\ ryo ryo ,yo .2 O ry CP O\ ry0,0. ry0,�0 72 Actual CIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information AK CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE:. Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Total A 4 Amount Due After : 130.76 Amount Enclosed: REMIT TO WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA [ WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/09/2018 08/30/2018 Waterloo Water Works Services Water $34.65 Water Service Excise Tax $2.08 Late Penalty $5.83 Water Works Subtotal $42.56 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $8.25 $5.79 $88.29 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $88.29 $124.74 -$130.57 -$5.83 $42.56 Total Current Service Charges $130.85 Total Amount Due $125.02 Amount Due After 08/30/2018 $130.88 Previous Read Date Current Read Date .' Previou 04/27/2018 07/30/2018 61 evious Read Type Actual ert Read 67 Curren Read Type Actual usage (CCF) PECIAL ME AGES Please detach and return the bottom portion with your payment. See reverse side for additional information AKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE- Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Amount Due After : 130.88 30/2 18'; Amount Enclosed: REMIT TO:. WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA. [WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paae 1 of 1 ACCOUNT SUMMI Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/11/2018 06/04/2018 Waterloo Water Works Services Water $34.65 Water Service Excise Tax $2.43 Water Works Subtotal $37.08 City of Waterloo Services Sanitary Sewer.75 Garbage Storm Water Fee $8 Sales Tax $5.79 City of Waterloo Subtotal $88.29 CHARGE SUM Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $88.29 $125.37 -$126.00 -$0.63 $37.08 Total Current Service Charges $125.37 Total Amount Due $124.74 Amount Due After 06/04/2018 $130.57 evious Read Date Current 01/26/2018 ead Date 04/27/2018 Previous Read 56 Previ Read Type Actual Current Re 61 Current Read Type Actual usage (CCF) SPECIAiL MESSAGES i' Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 otal'Amount: 1 . + Amount Due After : 130.57 iftink 0 : ! n4 Amount Enclosed: RE TTO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SRMM4 Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/09/2018 03/02/2018 Waterloo Water Works Services Water $34.65 Water Service Excise Tax $2.43 Late Penalty $5.71 Water Works Subtotal $42.79 City of Waterloo Services Sanitary Sewer $42.75 Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal 5 $5.79 $88.29 CHARGE SUMMARY Previous Balance Cred its/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $122.00 -$127.71 -$5.71 $42.79 $88.29 Total Current Service Charges $131.08 Total Amount Due $125.37 Amount Due After 03/02/2018 $131.23 Previous ad Date Current Read Date Pri rvlousead' Previou. Read Type Current Re cI rrent ReadT' U (CCF) 10/23/2017 01/26/2018 51 Actual 56 Actual PE AL'MESSAGE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAPA E TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Total Amount Due: -5,37' Amount Due After : 131.23 Bing Due Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 L iORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 AQUNT.SUMMAR1 _" Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/09/2017 12/05/2017 Waterloo Water Works Services Water $31.50 Water Service Excise Tax $2.21 Late Penalty $5.71 Water Works Subtotal $39.42 City of Waterloo Services Sanitary Sewer 42.75 Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $5.79 $88.29 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $88.29 $122.00 -$127.71 -$5.71 $39.42 Total Current Service Charges $127.71 Total Amount Due $122.00 Amount Due After 12/05/2017 $127.71 Previous Read Date Current Read Oat Previous ead Previous Read Type Curren Read Current Read Type Usage CCF) 07/28/2017 10/23/2017 45 Actual 51 Actual PECIAI. MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information AKE CHECKS PAYABLE T©:' P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE:' Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Total Amount Due: 22,t Amount Due After : 127.71 Bib{ 13tte oats: / 017' Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 /ORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOtitN SUMMARY' Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/08/2017 08/29/2017 Waterloo Water Works Services Water $31.50 Water Service Excise Tax $2.21 Water Works Subtotal $33.71 City of Waterloo Services Sanitary Sewer $42.75 Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $5.79 $88.29 CHARB irtl IAftY' Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $88.29 $122.00 -$122.00 $33.71 Total Current Service Charges $122.00 Total Amount Due $122.00 Amount Due After 08/29/2017 $127.71 Previous Read Dott Cu rr ead Date: Prewlous Re ead Typ Current Read C� en t Re d Type Usage CCF) 04/25/2017 07/28/2017 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information AKE=CHECt' PAYABt•E TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADORE; EE: Amreko Holloway 1111 W Parker St Waterloo, IA 50703 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 TotalAmount Due: y s 1 .0 Amount Due After : 127.71 Billing D t atei. 08/ Amount Enclosed: REMIT TO: 'll WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/11/2017 06/02/2017 Waterloo Water Works Services Water $31.50 Water Service Excise Tax $2.21 Late Penalty $5.71 Water Works Subtotal $39.42 City of Waterloo Services Sanitary Sewer 42.75 Garbage Storm Water Fee $8.25 Sales Tax $5.79 City of Waterloo Subtotal $88.29 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $88.29 $122.00 -$127.71 -$5.71 $39.42 Total Current Service Charges $127.71 Total Amount Due $122.00 Amount Due After 06/02/2017 $127.71 Previous Rea.: Date Current Read Date ad previous Read Type;. Current Read Current Read7yp Lisa ICCE 01/26/2017 04/25/2017 33 Actual SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Amreko Holloway 1111W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Total Amount Due: 122.00 Amount Due After . 127.71 Bitting Due Date: 06/02/2017 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO OVA L.'U^I 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 ARKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT UM Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/10/2017 03/06/2017 Waterloo Water Works Services Water $31.50 Water Service Excise Tax $2.21 Water Works Subtotal $33.71 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $5.79 $88.29 Cf EARGE SU#f M tyt Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $88.29 $122.00 -$122.00 $33.71 Total Current Service Charges $122.00 Total Amount Due $122.00 Amount Due After 03/06/2017 $127.71 taus RI Cu en ead Date' Re Prey Read Type Read' Cul nl ad Type Usage (CCF) 10/24/2016 01/26/2017 25 Actual 33 Actual ESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE:; Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 i otal aunt Due AmountDueAfter : 127.71 titling �M 03/0 z.-w 7 Amount Enclosed: TTO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Pace 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/10/2016 12/06/2016 Waterloo Water Works Services Water $31.50 Water Service Excise Tax $2.21 Late Penalty $7.33 Water Works Subtotal $41.04 City of Waterloo Services Sanitary Sewer 42.75 Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $5.79 $88.29 �G# IARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $156.67 -$164.00 -$7.33 $41.04 $88.29 Total Current Service Charges $129.33 Total Amount Due $122.00 Amount Due After 12/06/2016 $127.71 Previous Read Date Cur d Date P ,evwus Re d Previous Read Type Cur ent Ri Cui Read Type U' (CCF), 07/26/2016 10/24/2016 17 o^ oa 6\ ^° o^ o°' Actual 25 Actual SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAF ECKS PAYABLE TO WATERLOO WA E., WORtK5 P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 DRESSEE:i Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Total.Am 1 ue:{ 122.00 Amount Due After : 127.71 BiMng met'' 12/06 16' Amount Enclosed: REMIT TO WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA [. WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/10/2016 08/31/2016 Waterloo Water Works Services Water $45.50 Water Service Excise Tax $3.19 Late Penalty $5.71 Water Works Subtotal $54.40 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $7.08 $107.98 CHAP! QMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal City of Waterloo Subtotal $107.98 $251.28 -$256.99 -$5.71 $54.40 Total Current Service Charges $162.38 Total Amount Due $156.67 Amount Due After 08/31/2016 $164.00 revious Read Date Current Read Date Previous R :ad ev U5 Read Type Current Read ent Read Type CCF) _. 04/28/2016 07/26/2016 0 Actual 17 Actual SPECIAL MESSAGE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO W, P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ORKS ADDRESSEE: Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 TotalAmount Due:: 156.67 Amount Due After : 164.00 ilil[ing Due' D .i 08 ?f1% 16 Amount Enclosed: TTO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org PaPe 1 of 1 ACCOUNTSUIViM Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Waterloo Water Works Services Water $31.50 Water Service Excise Tax $2.21 Late Penalty $4.50 Water Works Subtotal $38.21 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee $8. Sales Tax $42.75 $5.79 City of Waterloo Subtotal $88.29 Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/10/2016 06/01/2016 CHAiGE t IARY' Previous Balance Balance Forward Water Works Subtotal City of Waterloo Subtotal $88.29 $124.78 $124.78 $38.21 Total Current Service Charges $126.50 Total Amount Due $251.28 Amount Due After 06/01/2016 $256.99 Previous Read b: en Read Date evious Read' ev€a d Type Cu in Read Current Read Type Lisa CCF) 01/29/2016 04/28/2016 0 Auto Estimate 0 Auto Estimate 0 PECIAL ESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 /ORKS ADDRESSEE Amreko Holloway 1111 W Parker St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 106874-536724 Total Amount Qua: Amount Due After : 256.99 8ilting'i ue Dalte. E 2D16' Amount Enclosed: REMIT TO - WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paae 1 of 2 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Amreko Holloway 106874-536724 444 EDISON ST Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/11/2016 03/03/2016 Waterloo Water Works Services Water $24.50 Water Service Excise Tax $1.72 Meter Equipment $14.06 Meter Room Labor $14.42 Water Works Subtotal $54.70 City of Waterloo Services Sanitary Sewer Garbage Storm Water Fee Sales Tax City of Waterloo Subtotal $4.59 $70.08 LARGE SUMMARY Credits/Payments Deposit Charged Water Works Subtotal City of Waterloo Subtotal $70.08 -$105.00 $105.00 $54.70 Total Current Service Charges $124.78 Total Amount Due $124.78 Amount Due After 03/03/2016 $129.28 Previous Read Date !Current Read Date Pr ead Pre tdiype Current Read Current R ad Type Usage(CCff) 11/21/2015 01/18/2016 01/18/2016 01/19/2016 01/19/2016 01/19/2016 01/19/2016 01/29/2016 0 7 0 0 Actual Actual Actual Actual 7 7 0 0 Actual Actual Actual Actual IAi, MES4f 0 0 0 MICHELLE WEICNER From: ELLA ELLIS Sent: Tuesday, January 21, 2020 1:04 PM To: MICHELLE WEIDNER Subject: 444 EDISON STREET Hi Michelle, I had the driver verify if there was a cart there and he said he has never picked up a cart in the 400 block of Edison. I show the property at the time of occupancy by Amreko S. Holloway the property was not marked Commercial and it is now. Amreko was charge for a Medium (B) cart from 11/21/2015 to 7/24/2019. Anything else, let me know. Ella i CITY OF WATERLOO Committee Communication Finance Committee Meeting: 01/27/2020 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $153 for yard waste service fees billed in error on a property located at 1125 Bertch Avenue. Summary Statement: This property was erroneously charged for yard waste services. The Sanitation Department has confirmed this and recommends approval of refund request. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: Ie:GSTi:ACLERKDAT\Comic l& FinanceCommunications\Cow;cilCommunicadonstoCouncil&OFinanceA2015vFinanceCommuni cationA 030915.garbare_refund doc 4110 City of Waterloo City finance Dept 715 Mulberry St Waterloo, IA 50703 Hello, My name is Emin Hasanovic. I live at 1125 Bertch Ave in Waterloo, IA. I am writing to request a refund of $153.00 for payment of yard waste container that I never had from December 2015 through November 2019. Enclosed are copies of Bills. Thank you very much Emin Hasanovic 5 / //V A,5 OUl WATERLOO W t WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 12/07/2015 12/30/2015 Waterloo Water Works Services Water $23.10 Water Service Excise Tax $1.62 Water Works Subtotal $24.72 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbage $31.50 Yard Waste 9.00, City of Waterloo Subtotal $91.50 CHARGE SUMMARY Water Works Subtotal City of Waterloo Subtotal $91.50 $24.72 Total Current Service Charges $116.22 Total Amount Due $116.22 Amount Due After 12/30/2015 $116.22 Previous Read Date Current ead Date Previous Read Previous[ ad Type Cu Read Current Read Type Usage (CCF) 07/28/2015 10/28/2015 301 Actual 307 Actual 6 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin. 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: Amount Due After : 108171-517367 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WA [ WORKS 11111 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Waterloo Water Works Services Water $25.20 Water Service Excise Tax $1.77 Water Works Subtotal $26.97 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 (,,,,garbage ...� $31.50 Yard Waste $9.00 City of -Waterloo Subtotal $91.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/16/2016 03/08/2016 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $116.22 -$116.22 $26.97 Total Current Service Charges $118.47 Total Amount Due $118.47 Amount Due After 03/08/2016 $118.47 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type (CCF) 10/28/2015 02/04/2016 307 Actual 315 Actual 8 SPECIAL MESSAGES Please detach and return the bottom portion with your paymen MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 0 Please check box if contact information requires updating and indicate the change(s) on reverse side See reverse side for additional information Account Number: 108171-517367 III'rxI,n Amount Due After : 118.47 tiling. , ;I no Amount Enclosed: EMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 CORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT"SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/16/2016 06/07/2016 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee rhaa,P _ Yard Waste City of Waterloo Subtotal $25.20 $1.77 $26.97 $42.75 $8.25 $31.50 9.00� $91.50 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $118.47 -$118.47 Total Current Service Charges Total Amount Due Amount Due After 06/07/2016 $26.97 $118.47 $118.47 $124.31 Prrous Read Date Current Read Date Previous Re 02/04/2016 04/28/2016 315 Previous Read Type Actual Current Read 321 Current Read Type Usage (CCF) Actual 6 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 k(s Amount Due After : 4 124.31 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 fORK5 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee1of1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Waterloo Water Works Services Wa*er Water Service Excise Tax Wa.:er Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee C3arbaee Yard Waste City of Waterloo Subtotal $25.20 $1.77 $26.97 $42.75 $8.25 31. 0 $9.00 $91.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/16/2016 09/07/2016 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $118.47 -$118.47 $26.97 Total Current Service Charges $118.47 Total Amount Due $118.47 Amount Due After 09/07/2016 $124.31 Prg ious Read Date ' Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 04/28/2016 08/01/2016 321 Actual 24 LL 28 U 18 U 12 0 8 m n a Oe. 01 �O O, OP 01 0 O p> ti�,b ti�1b 327 Actual 6 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information AKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 124.31 Billing Amount Enclosed: T'TD: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 (rd Waste 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee1of1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/17/2016 12/12/2016 Waterloo Water Works Services Water $25.20 Water Service Excise Tax $1.77 Water Works Subtotal $26.97 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbage $31.50 $9.00 City of Waterloo Subtotal $91.50 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $118.47 -$118.47 $26.97 Total Current Service Charges $118.47 Total Amount Due $118.47 Amount Due After 12/12/2016 $124.31 Pr toes Read Date Current Read Date Previous RI d Previous Read Type Current Read Current Read Type age (CCF) 08/01/2016 10/28/2016 327 Actual 24 20 U 16 • 12 d CI 8 N • d 0 ^2 O^ Ot ti0^P" ti0^(i ti0^y ,O O'L O> .10 ry0 10 336 Actual 9 SPECIAL. MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 47'. 124.31 ^rr Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/16/2017 03/10/2017 Waterloo Water Works Services Water $25.20 Water Service Excise Tax $1.77 Water Works Subtotal $26.97 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbage $31.50 S:ciWaste $9.00- j City of Waterloo Su to al $91.50 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $118.47 -$118.47 $26.97 Total Current Service Charges $118.47 Total Amount Due $118.47 Amount Due After 03/10/2017 $124.31 Pre ious cad U.,te rent Provinus head Previous Read Ty e Current Reed Current Read Type Usage (CCF) 10/28/2016 02/02/2017 336 Actual 343 Actual 7 SPECIAL MESSAGES U U_ v 0J N 6 6 4 20 CP. c; .2 g 'Lo4 6 6 N0 ryoe rto Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO W P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ARKS ADDRESSEE:' Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 Account Number: 108171-517367 Total Amount Due: 1.1Ez 47 Amount Due After : 124.31 Billing true pate: 03/10/2017 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Please check box if contact information requires updating and indicate the change(s) on reverse side 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paae 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/17/2017 06/08/2017 Waterloo Water Works Services Water $25.20 Water Service Excise Tax $1.77 Wa.er Works Subtotal $26.97 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbag$31.50 Yard Waste C� i y f Waterloo Subtotal 591.50 CHARGE SUMMARY; Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $118.47 -$118.47 $26.97 Total Current Service Charges $118.47 Total Amount Due $118.47 Amount Due After 06/08/2017 $124.31 eyious Read Date Current Read D e Previo 02/02/2017 04/28/2017 s' 343 ad Previous Read Type Actual Current Read 346 Cu rent Read Type Actual Usage (CCF) 3 PECIAI MESSAGES O' O' ,yo ho h0 ry0 ,�o ,Lo Please detach and return the bottom portion with your payment. See reverse side for additional information LAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 CI Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 .o w�� ,,rrp, c s_ --.ii$�Sam„-§�AYfRZ n"`Rr Y'ad�s Amount Due After : 124.31 il R �"*� i�JnduPLvi 'eXi4"���h Pm'i" =2 Ifl 1 i1tP ` e — Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WATVWORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/15/2017 09/06/2017 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee $25.20 $1.77 $26.97 $42.75 $8.25 Garbage $31.50 Yard Waste 9.00 City of Waterloo Subtotal $91.50 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $118.47 -$120.00 -$1.53 Water Works Subtotal $26.97 City of Waterloo Subtotal $91.50 Total Current Service Charges $118.47 Total Amount Due $116.94 Amount Due After 09/06/2017 $122.70 Previous Read Date Current ad Date Previous Read Previous Read Type Current ReadCurrent Read Type Usage (CCF) 04/28/2017 08/03/2017 346 Actual 354 Actual 8 SPECIAL NtE AGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADI RESSEE:I Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 - Amount Due After : 122.70 Illl Amount Enclosed: T TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/16/2017 12/11/2017 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage__ r[ Yard Waste City of Waterloo Subtotal $35.70 $2.50 $38.20 $56.55 $8.25 $31.50 $9.00 $105.30 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $105.30 $116.94 -$116.94 $38.20 Total Current Service Charges $143.50 Total Amount Due $143.50 Amount Due After 12/11/2017 $150.56 Previous Read Date Current Read Date Previous Read Previous Rea Type Current Read Current Read Type Usage (CCF) 08/03/2017 10/27/2017 354 Actual 14 12 "j 10 U 6 • 6 13) a o 2 01 Op 61' OG 06 ry°., h0^6. re,0. e°^6, ry^� �1,�, ry^�, if, ^�. 369 Actual 15 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information AKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 150.56 Billie t r . �, , :a /2i 7 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/15/2018 03/08/2018 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee rbage Yard Waste $27.70 $1.94 $29.64 $42.75 $8.25 $31.50 $9.00 1 tY of Waterloo Subtotal $91.50 CHARGE SUMMARY Previous Balance Credits/Payments $143.50 -$143.50 Water Works Subtotal $29.64 City of Waterloo Subtotal $91.50 Total Current Service Charges $121.14 Total Amount Due $121.14 Amount Due After 03/08/2018 $127.11 Previous Read Date en t Re Previous Read Previous Read Type Curre Read Current Read Type Usage(CCF) 10/27/2017 01/29/2018 369 Actual 376 Actual 7 ECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 �l Fr � ,� , li TQt1'�k M� t Ii;�i�i�F«���yG��,t",.�,Li Amount Due After : 127.11 Billing e: ry /0S/2018 Amount Enclosed: MIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 CORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Waterloo Water Works Services Water $27.70 Water Service Excise Tax $1.94 Water Works Subtotal $29.64 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 $31.50 Garbage and City of Waterloo Subtotal Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/16/2018 06/07/2018 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $121.14 -$121.14 $29.64 Total Current Service Charges $121.14 Total Amount Due $121.14 Amount Due After 06/07/2018 $127.11 Previous Redd Date Current Re. Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 01/29/2018 05/01/2018 376 Actual 382 Actual 6 SPECIA ESSAGES' Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bench Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 127.11 Amount Enclosed: REMIT TO WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 CORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY ustomer Name: ccount Number: ervice Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/14/2018 09/05/2018 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Ga $27.70 $1.67 $29.37 $42.75 $8.25 $31.50 Yard Waste $9.00 �+ City of Waterloo Subtotal $31:56— CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $121.14 -$121.14 $29.37 Total Current Service Charges $120.87 Total Amount Due $120.87 Amount Due After 09/05/2018 $126.84 Prejaous Read Date Current Read Date Previous Read Previous Read Type 05/01/2018 07/30/2018 382 Actual Read Current Read Type 382 Actual Usage (CCF) 0 4 oo ^° oti o^ 60 4s ^6 ^6 . (1 s° ry0 f ryb ry0 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ORKS ADI RESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the changels) on reverse side Account Number: 108171-517367 r�. Amount Due After : 126.84 Amount Enclosed: REM T=TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACC+ UNT SUf IARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Waterloo Water Works Services Water $29.63 Water Service Excise Tax $1.78 Water Works Subtotal $31.41 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbage $31.50 Yard aste $9.00 City of Waterloo Subtotal 1.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/15/2018 12/10/2018 CHARGE SUMMARY '= Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $91.50 $120.87 -$120.87 $31.41 Total Current Service Charges $122.91 Total Amount Due $122.91 Amount Due After 12/10/2018 $128.97 Pr r[ous Read Date "Current Read Date Previous Read Previous Read Type Current Read ren Read Type Usage (CCF) 07/30/2018 10/31/2018 382 Actual 392 Actual 10 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATS W4RK5 P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 0 Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 128.97 $ Amount Enclosed: RE T TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/18/2019 03/11/2019 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage and Waste City of Waterloo Subtotal $93.75 $29.10 $1.75 $30.85 $45.00 $8.25 $31.50 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $93.75 $122.91 -$122.91 $30.85 Total Current Service Charges $124.60 Total Amount Due $124.60 Amount Due After 03/11/2019 $130.75 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 10/31/2018 02/06/2019 392 Actual 400 Actual 8 SPECIAL MESSAGES. Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 �. J$1 �a'.I.hl l� Ii Amount Due After : 130.75 I'I ® Date: Amount Enclosed: REP T TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Garbage _ V� -Waste WATERLOO 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 CORKS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/16/2019 06/07/2019 Waterloo Water Works Services Water $29.10 Water Service Excise Tax $1.75 Water Works Subtotal $30.85 City of Waterloo Services Sanitary Sewer $45.00 Storm Water Fee $8.25 $31.50 $90o City of Waterloo Subtotal $93.75 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $93.75 $124.60 -$124.60 $30.85 Total Current Service Charges $124.60 Total Amount Due $124.60 Amount Due After 06/07/2019 $130.75 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 02/06/2019 04/30/2019 400 Actual oti d. os . & , o� 406 Actual 6 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA L WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: Amount Due After : Amount Enclosed: 108171-517367 130.75 REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA C_WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org PaPe 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/15/2019 09/06/2019 Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage $29.10 $1.75 $30.85 $47.25 $12.00 $31.50 Yard Waste City of Water oo Su o a $99.75 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $99.75 $124.60 -$124.60 $30.85 Total Current Service Charges $130.60 Total Amount Due $130.60 Amount Due After 09/06/2019 $137.05 Previous Read Date Current Read Date Previous Read Previous Read Type, Current Read Current Read Type Usage (CC- 04/30/2019 08/01/2019 406 Actual 412 Actual 6 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information E CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 137.05 lib Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 WATERLOO • [ WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Hasanovic Emin 108171-517367 1125 BERTCH AVE Waterloo Water Works Services Water $43.31 Water Service Excise Tax $2.60 Water Works Subtotal $45.91 City of Waterloo Services Sanitary Sewer $47.25 Storm Water Fee $12.00 Garbage $31.50 / Yard Waste $9.00 City of Waterloo Subtota Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/15/2019 12/10/2019 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $99.75 $130.60 -$130.60 $45.91 Total Current Service Charges $145.66 Total Amount Due $145.66 Amount Due After 12/10/2019 $152.82 Prtaus Read ate Current Read ©ate Previo Previous Read Type Current Read Current Read Type Usage (CCP) 08/01/2019 10/29/2019 412 Actual 428 Actual 16 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Hasanovic Emin 1125 Bertch Ave Waterloo, IA 507023142 D Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 108171-517367 Amount Due After : 152.82 IL Amount Enclosed: REMIT TO; WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 1/27/2020 Prepared: Nancy Higbv Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $46.50 for duplicate garbage collection fees paid on a property located at 328 Peek Street. Summary Statement: Sanitation and Waterloo Water Works confirmed the billing error for the stated billing period(s). Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: hlc_�/lh CLiRKD11`,Council&rinanecCommunranons\Corm.ilConmiunicationstoCouncil&O inuncei2015'FinunceCommuni carionA030915.earbe2e.refimd.doc WATERLOO WATER W$ RKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Lopez Nolberto E 104121-528979 328 PEEK ST Waterloo Water Works Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste City of Waterloo Subtotal $29.10 $2.24 $31.34 $47.25 $12.00 $93.00, $9.00 $161.25 8'}t Q lA— Yl�- Qrl� �,e, t oo G/Ao 04.44-te.. Ar - timydo �1G p(Mtaitio ti-tA G- M w" (°(t-t ) MA. Go' h 4.f-c 4- Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/30/2019 08/20/2019 CHARGE SUMMARY Previous Balance Credits/Payments $70.61 -$70.61 Water Works Subtotal $31.34 City of Waterloo Subtotal $161.25 Total Current Service Charges $192.59 Total Amount Due $192.59 Amount Due After 08/20/2019 $202.51 tc\O) Preerous R Date Gar r_nt Read Date Previous Read Previous Read Type Current Read Current Read 04/09/2019 07/18/2019 1 Actual O� ♦O O Od �11 'ON O O 01 �O �0�0 i O,O ti 14 Actual 13 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO W /1/ARKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319 232-6280 ADDRESSEE: Lopez Nolberto E 328 Peek St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side REMIT TO WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO NRKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Lopez Nolberto E 104121-528979 328 PEEK ST STATEMENT OF SERVICES ACCOUNT SUMMARY Waterloo Water Works Services Water Water Service Excise Tax $29.10 Late Penalty $1.75 $9.92 $40.77 Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage Yard Waste City of Waterloo Subtotal $47.25 $12.00 $46.50 $5.10 $110.85 iv -wee, IPte, v-p tA' Previous Read ;ate Current Read Date Previous Read 07/18/2019 10/17/2019 14 Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Billing Frequency: Billing Date: Billing Due Date: Quarterly 10/29/2019 11/20/2019 CHARGE SUMMARY Previous Balance Credits/Payments $200.71 Balance Forward -$210.63.63 -$9.92 Water Works Subtotal $40.77 City of Waterloo Subtotal $110.85 Total Current Service Charges Total Amount Due $151.62 Amount Due After 11/20/2019 $148.71$14.71 Previous Re a,^.' Type Current Re,:d Actual 14 c 12 10 • e m 6 q 4 3 2 0 >t 23 Current Read Type Actual SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO 'WAWORKS Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Lopez Nolberto E 328 Peek St Waterloo, IA 50703 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 01/27/2020 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $153 for yard waste service fees billed in error on a property located at 415 Hillcrest Rd. Summary Statement: This property was erroneously charged for yard waste services. The Sanitation Department has confirmed this and recommends approval of refund request. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: lilt. iIR:ACLERKDATCounci!&FinanceCommunicahons,CouncilCommunicauonstoCouncil&OFinanc 201 5`l'inancet.ommuni cation v0 0915.aarbaae..efund.doc 415 Hillcrest Road Waterloo, IA 50701 November 26, 2019 City Clerk City of Waterloo Attn: Finance Committee 715 Mulberry Street Waterloo, IA 50703 Re: Yard Waste Fees A new yard waste container was recently delivered to my address although I had not requested one. I called the sanitation department and informed them that I did not want the container and to pick it up. Upon further investigation I realized that I am being charged a $9.00 yard waste fee even though I have never had a yard waste container at this address and have not received any services for this fee. It was confirmed that this fee has been applied to my bill since 2014. It was also confirmed by Ella in the sanitation department office that a waste container has never been provided to this address. The erroneous yard waste fee was not caught when originally billed and since the quarterly charges are pretty consistent I failed to notice the charge until now. Attached are copies of seventeen statements going back to 01/03/16 showing this $9.00 charge. I am requesting reimbursement for a total of $153.00 (17 x $9.00) based on these statements. Your attention to this matter is appreciated. If necessary you can reach me by phone at 319-269-8229. Sincerely, Greg Becker Enclosures O A (�T1 (D0)A WATERLOO WA [ WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY ;. Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 8/21/2019 9/12/2019 aterloo Water Works Services Water 47.37 Water Service Excise Tax 2 85 Water Works Subtotal $50.22 00 Sanitary Sewer 62.37 Storm Water Fee 12.00 Yard Waste Garbage City of Waterloo Subtotal 9 00 31.50 $114.87 CHARGE SUMMARY Previous Balance 142.81 Credits/Payments 142.81 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 50.22 City of Waterloo Subtotal 114.87 Total Current Service Charges 165.09 Total Amount Due $165.09 Amount Due After 09/12/2019 $173.21 Previous Read Date " C 5/8/2019 rent Read Date 8/14/2019 Previous 969 Previous Read Type ` Current Read Current Read Type 987 Actual Usage (CCF) 18 15 10 5 0 b 6 F SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WA_w [ WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE:, ADDRESS SERVICE REQUESTED 4 1 II'llllll"'11illlor1111'II'11141911'I1111111191lll111ll1l' BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 09/12/2019: Amount Enclosed: 111896-503506 c 3= $173.21 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 9/12/2019 REMIT TO:il_; WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111'1I111Illlll°iil1111111III'1'11'll'1I1111111'1111"lllilllllll Please check box it your contact information requires updating and indicate the change(s) on reverse side. 1 WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES ACCOUNT SUMMARY Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Customer Name: Account Number: `Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 5/21/2019 6/12/2019 Waterloo Water Works Services Water 37.22 Water Service Excise Tax 2 24 Water Works Subtotal $39.46 Sanitary Sewer 54.60 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $103.35 Storm Water Fee CHARGE SUMMARY Previous Balance 151.91 Credits/Payments 151.91 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 39.46 City of Waterloo Subtotal 103.35 Total Current Service Charges 142.81 Total Amount Due $142.81 Amount Due After 06/12/2019 $149.84 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 2/11/2019 15 10 0 n V V o co co Cooco Crt CO 5/8/2019 956 A. 2 969 Actual 13 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 i111r1111i111111111111111I111 1IIili1111r1111111Ir11111111Ir111r1 BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: a Amount Due After 06/12/2019: #Snn�icwuraracc- Amount Enclosed: 111896-503506 $149.84 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 6/12/2019 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 III'i111111111111II1111111I1111414I11111111111111I"I1111111111 Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WATER WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES ACCOUNT SUMMARY . ..`' Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 2/21/2019 3/14/2019 Waterloo Water Works Services Water 41.28 2 48 Water Works Subtotal $43.76 Water Service Excise Tax Sanitary Sewer 59.40 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $108.15 Storm Water Fee CHARGE SUMMARY Previous Balance 135.95 Credits/Payments 135.95 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 43.76 City of Waterloo Subtotal 108.15 Total Current Service Charges 151.91 Total Amount Due $151.91 Amount Due After 03/14/2019 $159.38 Previous Read Date Current Read Date Previous Read Previous Read Type,', Current Read Current Read Type Usage (CCF) 11/8/2018 15 10 5 2/11/2019 941 2 4 T - LL a Please detach and return bottom portion with your payment. See reverse side for additional information. 956 Actual 15 SPECIAL MESSAGES MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 111111'11"IIII''I"1"'I'IIlll"11'11111'1" 111'1111"'1"Illll' BECKER GREG 415 HILLCREST RD om� WATERLOO, IA 50701-5015 CDCOCO -9 m Account Number: Amount Due After 03/14/2019: Amount Enclosed: 111896-503506 $159.38 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 3/14/2019 REMIT TOs WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111'11111111111'1111111111111'1'11'Ild1111111111111"11111111111 Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WAT RWORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES ACCOUNT SUMMARY Phone: (319) 232-623U www.waterloowater.org Statement 1 of 1 Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/21/2018 12/14/2018 Waterloo Water Wa Wa Wa orks Services ter 35.42 2 13 ter Works Subtotal $37.55 ter Service Excise Tax Ice Sa St Ya Ga Ci iitary Sewer 49.65 8 25 -d Waste 9 00 -bage 31.50 ty of Waterloo Subtotal $98.40 )rm Water Fee CHARGE SUMMARY Previous Balance 138.00 Credits/Payments 138.00 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 37.55 City of Waterloo Subtotal 98.40 Total Current Service Charges 135.95 Total Amount Due $135.95 Amount Due After 12/14/2018 $142.64 Previous Read Date r Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 8/14/2018 15 10 5 0 CO 0 oo — (orncn 11/8/2018 928 LL 2 LL 941 Actual 13 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO WATERLOO WAT_. WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE ADDRESS SERVICE REQUESTED 5 1 IIIIildIL11i111191" 1I1III1111Ih911P"1I41111iPilluIl11i BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 12/14/2018: g= Amount Enclosed: 111896-503506 $142.64 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 12/14/2018 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 III'IIIIII111111IIIIIIIIIIIII'I'll'11I111111I11dlll" IIIIIIIIIII 111 Please check box if your contact information requires IM updating and indicate the change(s) on reverse side. WATERLOO WATER WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Waterloo Water Works Service Water 37.35 Water Service Excise Tax 2 25 Water Works Subtotal $39.60 Sanitary Sewer 49.65 Storm Water Fee Yard Waste Garbage 31.50 City of Waterloo Subtotal $98.40 8 25 9 00 Billing Frequency: Billing Date: Billing Due Date: Quarterly 8/21/2018 9/12/2018 CHARGE SUMMARY Previous Balance 138.37 Credits/Payments 138.37 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 39.60 City of Waterloo Subtotal 98.40 Total Current Service Charges 138.00 Total Amount Due $138.00 Amount Due After 09/12/2018 $144.79 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 5/11/2018 8/14/2018 914 15- 10- 928 Actual 14 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 4 1 1111911111'1111i11'iiJIri911O11111111111d1111r1n11111d111 cn al al o cnm oUt- V 0O BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 09/12/2018: Amount Enclosed: 111896-503506 $144.79 $ Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 9/12/2018 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111'111111111119111111111111'1'11u11111111111111111u11111111111 Please check box if your contact information requires updating and indicate the change(s) on reverse side. Water 37.35 2 62 Water Works Subtotal $39.97 WATERLOO WAT R WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY . 4 Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 5/23/2018 6/14/2018 Waterloo Water Works Services Sales Tax Sanitary Sewer 49.65 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $98.40 Storm Water Fee cnrnm ornrn CO CD -31 m CHARGE SUMMARY Previous Balance 134.24 Credits/Payments 134.24 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 39.97 City of Waterloo Subtotal 98.40 Total Current Service Charges 138.37 Total Amount Due $138.37 Amount Due After 06/14/2018 $145.16 Previous Read Date Current Read Date 2/6/2018 5/11/2018 Previous Read Previous 900 ead Type Current Read Current Read Type 914 Actual Usage (CCF) 14 15- 10- SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WATER WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 4 1 111Jhu91J'191'IIii1LtL119i1r11L.111111111111111111111119 BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 06/14/2018: Amount Enclosed: 111896-503506 $145.16 $ Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 6/14/2018 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111i1111111111111111111111111'iiliyld11111111111111'II111I11111 Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WATE WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 2/23/2018 3/16/2018 Water 33. Sales Tax 2 Water Works Subtotal $35. ite'loo se Sanitary Sewer 49. Storm Water Fee 8 Yard Waste 9 Garbage 31. City of Waterloo Subtotal $98. CHARGE SUMMARY Previous Balance 118.47 Credits/Payments 118.47 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 35.84 City of Waterloo Subtotal 98.40 Total Current Service Charges 134.24 Total Amount Due $134.24 Amount Due After 03/16/2018 $140.83 • Previous Read Date Current Read Date 11/9/2017 2/6/2018 Previous Read 888 Previous Read Type, Current Read Current Read Type 900 Actual Usage (CCF) 12 15- 2 s Please detach and return bottom port SPECIAL MESSAGES on with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WAT WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 III111111I"IIIII.III1III"N1111d'IIIIIII4IIIIIIIIIIIII9 u) V CO 0 CO IV CD CO 0 Cn BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 03/16/2018: Amount Enclosed: 111896-503506 $140.83 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 3/16/2018 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111111111111111'1111111111111'1'IYII'111111III'1111" I1111111111 Please check box if your contact information requires ct updating and indicate the change(s) on reverse side. WATERLOO WA [ WORKS 01 N N O J - COAA 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/27/2017 12/18/2017 w s W S S Y 6 C ater a1 es Tax ater Works Subtotal 10o Services anitary Sewer Lorm Water Fee 3rd Waste 3rbage ity of Waterloo Subtotal 25.20 1 77 $26.97 42.75 8 25 9 00 31.50 $91.50 CHARGE SUMMARY Previous Balance Credits/Payments Deposit Payment Balance Forward 140.78 140.78 CR 0 00 $0.00 Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 12/18/2017 26.97 91.50 118.47 $118.47 $124.31 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 8/14/2017 15- 0 . , 11/9/2017 879 888 Actual 9 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO W • [WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE:.t, ADDRESS SERVICE REQUESTED 6 1 111111111'1111H1111111111111n1M11111111"111111'101119 BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Total Amount Due will be withdrawn from you bank account on 12/18/2017 REMIT TO: ° WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111'111111111111111111111111'1'II'11d111111111111I"I1111111111 ri Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD STATEMENT OF SERVICES ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Quarterly 8/23/2017 9/14/2017 Water Sales Tax 37.45 2 63 Water Works Subtotal $40.08 City of Waterloo.'Services Sanitary Sewer Storm Water Fee Yard Waste Garbage City of Waterloo Subtotal 51.95 8 25 9 00 31.50 $100.70 CHARGE SUMMARY Previous Balance Credits/Payments Deposit Payment Balance Forward 122.64 122.64 CR 0 00 $0.00 Water Works Subtotal 40.08 City of Waterloo Subtotal 100.70 Total Current Service Charges 140.78 Total Amount Due $140.78 Amount Due After 09/14/2017 $147.69 1 Previous Read Date Current Read Da Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 5/12/2017 8/14/2017 863 879 Actual 16 12 10 8 6 4 2 0 a g m k w 2 2 f . / 2 f Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE`CHECKS PAYABLE TO: WATERLOO WAT L WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE:`' ADDRESS SERVICE REQUESTED 5 1 pi. ,IaIdIIuIIIIII'uIIIIIIIIhll.IIIIIIIInriIIIIIn IIIIIII UN V J o CO CO CO iv CO J CO BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: alt._;'t1t41ti red y Amount Due After 09/14/2017: Amount Enclosed: 111896-503506 $147.69 $ Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 9/14/2017 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 IIl91IiIIIIIIIIt11111IIIIII'l'II'II 111111IIIrllll"Illllllllll Please check box if your contact information requires updating and indicate the change(s) on reverse side. rie WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES ACCOUNT SUMMARY Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 5/24/2017 6/15/2017 Water 26.95 Sales Tax 1 89 Water Works Subtotal $28.84 Sanitary Sewer 45.05 Storm Water Fee Yard Waste Garbage 31.50 City of Waterloo Subtotal $93.80 8 25 9 00 CHARGE SUMMARY Previous Balance 135.16 Credits/Payments 135.16 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 28.84 City of Waterloo Subtotal 93.80 Total Current Service Charges 122.64 Total Amount Due $122.64 Amount Due After 06/15/2017 $128.68 e CCF 12 10 8 6 4 2 0 0100 o CO Q, A CO 2 2 2 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS; PAYABLE TO: WATERLOOT[ WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 1r1iIIIIrrllrIIi'II'I1"l1I11111111H1flipI'IlrrmIl1'IIll'll' BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 06/15/2017: Amount Enclosed: 111896-503506 $128.68 $ Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 6/15/2017 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 IIl4IIIIIIIIIIIIIIIIIIIIIIII'llII91iI1IIIIIiI'IIII" Illilllllll ri Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 2/27/2017 3/20/2017 Water 32.20 Sales Tax 2 26 Water Works Subtotal $34.46 uf, atet l ooSgrv3ces s= a, F ,, Sanitary Sewer 51.95 Storm Water Fee 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $100.70 CHARGE SUMMARY Previous Balance 126.81 Credits/Payments 126.81 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 34.46 City of Waterloo Subtotal 100.70 Total Current Service Charges 135.16 Total Amount Due $135.16 Amount Due After 03/20/2017 $141.81 Previous Read Date Cur nt Read Date Previous Read Previous Read Type, Current Read Current Read Type Usage (CCF) 11/14/2016 12 10 8 6 4 2 0 2/22/2017 840 4 a < p, . m , 3m y ,, m! ,4 , . I 853 Actual 13 SPECIALMESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS, PAYABLE TO: WATERLOO WAT WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 IIIdrrll"lllIl"lll'll"01IIIIIIII, Illlllll'111I'IIIIIIIIII' rn m'm c0 V CO -4 CO BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 03/20/2017: '�¢{'� #fit ,�^y�; ,� � •k : � , t� .� Amount Enclosed: 111896-503506 $141.81 $ Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 3/20/2017 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 Ill'lilllllllll'Illllllllllll'I'li9lulilllllll'illl"IIIllllllll Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WAT_._ WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/23/2016 12/16/2016 Water 28.70 Sales Tax 2 01 Water Works Subtotal $30.71 Sanitary Sewer 47.35 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $96.10 Storm Water Fee Previous Read Date Current Read Date 8/11/2016 12 10 8 6 4 2 0 irOCO o-01 'crno OD 11/14/2016 Previous Read 829 CHARGE SUMMARY Previous Balance 122.64 Credits/Payments 122.64 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 30.71 City of Waterloo Subtotal 96.10 Total Current Service Charges 126.81 Total Amount Due $126.81 Amount Due After 12/16/2016 $133.06 1 Previous Read Type �11 2 Current Read 840 Current Read Type Actual Usage (CCF) 11 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WA [ WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 rllrlrl���IIIIII'IPIIruIIIIIIIIIJIIrIIiIIIIILiiiIIIIurl6illll BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: 111896-503506 Amount Due After 12/16/2016: $133.06 Amount Enclosed: $ Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 12/16/2016 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 III' 11111111111' 1111111111111' 1' 11' 11 rI I1111111"1" 11111111111 Please check box if your contact information requires updating and indicate the change(s) on reverse side. tig WATERLOO WAT nR WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY ;•, Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 8/23/2016 9/14/2016 Water 26.95 Sales Tax 1 89 Water Works Subtotal $28.84 Wati rloo:Servl Sanitary Sewer 45.05 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $93.80 Storm Water Fee i CHARGE SUMMARY Previous Balance 130.56 Credits/Payments 130.56 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 28.84 City of Waterloo Subtotal 93.80 Total Current Service Charges 122.64 Total Amount Due $122.64 Amount Due After 09/14/2016 $128.68 Previous Read Date Current Read Date Previous Read 5/12/2016 8/11/2016 819 Previous Read Type Current Read Current Read Type Usage (CCF) 829 Actual 10 12 10 8 6= 4 2 0 a' SPECIALMESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: a' WATERLOO WATER WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 5 1 Old1H11111III4II1ll1ll 1111111lllllrlMrrp4lnllnl N OD CO o CO N NNW V CO BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Amount Due After 09/14/2016: Amount Enclosed: Total Amount Due will be withdrawn from you bank account on 9/14/2016 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 Ill'IllilllllllyllHHllllll'l'Ilylrllllllll Iillllulllllllllll Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNTwSUMMARY'; Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Water 32.20 2 26 Water Works Subtotal $34.46 Sales Tax of..Waterloo Services Sanitary Sewer 47.35 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $96.10 Storm Water Fee Previous Read Date Current Read Date L2/12/2016 25 20 15 10 5 5/12/2016 Previous Read 806 Billing Frequency: Billing Date: Billing Due Date: Quarterly 5/20/2016 6/13/2016 CHARGE SUMMARY' Previous Balance 126.81 Credits/Payments 126.81 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 34.46 City of Waterloo Subtotal 96.10 Total Current Service Charges 130.56 Total Amount Due $130.56 Amount Due After 06/13/2016 $136.98 Previous Read Type Current Read Current Read Type 819 Actual Usage (CCF) 13 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WAT WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE:. ADDRESS SERVICE REQUESTED 5 1 Illulurlul'llluiJ"IIIIIILIiIIIIyIIIIIJI'IIII'I'IIiiIIII' 0WW O NUN N `,1 CO V 0 BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Total Amount.D to Amount Due After 06/13/2016: Billing:t ue. ate: Amount Enclosed: Total Amount Due will be withdrawn from you bank account on 6/13/2016 REMIT TO:'` WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 III'IIIIIIIIIII'iiIIIIIIIIIII'1'll'll'IIIIIIIIIJIII"IIIIIIIIIII Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO WA �mm o cn <n v CO 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 2/23/2016 3/15/2016 100 Water Sales Tax Water Works Subtotal $30.71 ater1oo Services; 28.70 2 01 Sanitary Sewer 47.35 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $96.10 Storm Water Fee CHARGE'SUMMARY Previous Balance 124.40 Credits/Payments 124.40 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 30.71 City of Waterloo Subtotal 96.10 Total Current Service Charges 126.81 Total Amount Due $126.81 Amount Due After 03/15/2016 $133.05 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 11/10/2015 2/12/2016 795 806 Actual 11 25- 20- 15 10. Os . s 2 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO W' [ WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE: ADDRESS SERVICE REQUESTED 4 1 IIIIII"llllilll"l'L'llllll'11414Lllll'lil"I'l"IIIII"III' BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 03/15/2016: Amount Enclosed: 111896-503506 $133.05 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 3/15/2016 REMITTO:' WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 III'IIItIiliIII'IIIIIIIIIIIII'I'll'll'tllllllIhIIII"IIIIIIIIIII Please check box if your contact information requires updating and indicate the change(s) on reverse side. 126 WATERLOO W ,j, WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES ACCOUNT SUMMARY Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Customer Name: Account Number: Service Address: Becker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 12/11/2015 1/3/2016 Water 26.44 1 86 Water Works Subtotal $28.30 Sales Tax aterloo Services Sanitary Sewer 47.35 8 25 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $96.10 Storm Water Fee l CHARGE SUMMARY Previous Balance 0 00 Credits/Payments 0 00 Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 28.30 City of Waterloo Subtotal 96.10 Total Current Service Charges 124.40 Total Amount Due $124.40 Amount Due After 01/03/2016 $130.53 Previous Read Date Current 'Read Date Previous Read Previous "Read Type Current Read Current Read Type Usage (CCF) 257 207 15= 10- 5- i a' i 2 f a' SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. AKE CHECKS PAYABLETO: WATERLOO W • R WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE:` ADDRESS SERVICE REQUESTED 4 1 'IIIIIIL"Il'II�"'I'III"II"'IIIIII'lll'IIIII1II�It1IlII�Jlll UN CD CO oCO (00)m BECKER GREG 415 HILLCREST RD WATERLOO, IA 50701-5015 Account Number: Amount Due After 01/03/2016: Amount Enclosed: 111896-503506 $130.53 E 3/2016 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 1/3/2016 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 III'IIIIIIIIIII'IIIIIIIIIIIII'I'II'II'IIIIIIIItiIIII"IIIIIIIIIII Please check box if your contact information requires updating and indicate the change(s) on reverse side. WATERLOO W . t WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: B,cker Greg 111896-503506 415 HILLCREST RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/20/2019 12/13/2019 Waterloo Water Works Services Water 45.34 2 73 Water Works Subtotal $48.07 Water Service Excise Tax y os leo Services Sanitary Sewer 62.37 Storm Water Fee 12.00 Yard Waste 9 00 Garbage 31.50 City of Waterloo Subtotal $114.87 8/14/2019 Read Date Previous Read 11/12/2019 987 CHARGE SUMMARY Previous Balance 165.09 Credits/Payments 165.09 CR Deposit Payment 0 00 Balance Forward $0.00 Water Works Subtotal 48.07 City of Waterloo Subtotal 114.87 Total Current Service Charges 162.94 Total Amount Due $162.94 Amount Due After 12/13/2019 $170.96 Previous Read Type Current Re. 1,004 nt Read Type Actual 17 SPECIAL MESSAGES Please detach and return bottom portion with your payment. See reverse side for additional information. MAKE CHECKS PAYABLE TO: WATERLOO WA C WORKS P.O. Box 27 Waterloo, IA 50704 ADDRESSEE:-`' ADDRESS SERVICE REQUESTED 4 1 r1lli!II.111111.III.1I11II'1111III111III"1"II1IIII11111II11i11l o " BECKER GREG N $ 415 HILLCREST RD o WATERLOO, IA 50701-5015 Account Number: Amount Due After 12/13/2019: Amount Enclosed: 111896-503506 $170.96 lr�1 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 12/13/2019 REMIT TO: WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 IIl'11111III11l'i1l1ll111llll'1'I19lil1lllll0dlll°II1111illll Please check box if your contact information requires updating and indicate the change(s) on reverse side.